Health & Medical

Discuss Emotional Intelligence for healthcare leaders.  Address: Is this a passing fad or will it still be important in 10 years? Is there ever a time when EI is not a good thing? Give an example from the literature where a healthcare leader has failed due to

Historians frequently say that history doesn’t exactly repeat itself, but it often rhymes.  When we consider the impact of prohibition, we often see corresponding and familiar patterns and themes emerge. Such patterns may inform our laws, beliefs, media, and response to drug epidemics. Your job will be to consider a topic related in some way to the War on Drugs today and analyze its historical significance and/or how similar issues have played out in the past.  You need to go beyond merely summarizing the phenomenon to analyzing it. Why does this history matter? What “red flags” should we consider? What can we learn from the past to inform a better way or responding in the future?

Imagine that you are a healthcare administrator, and you are faced with the following situation. One of the scrub nurses in the hospital in which you work has come forward to let you know that one of the hospital’s top performing surgeons attempted to perform a surgery after having a “few drinks” at dinner. The scrub nurse noticed that his hands were not steady and mentioned it to the surgeon. Because the patient had already been opened up on the table, the surgeon allowed the surgical intern (who was only there to observe the surgery) to complete it while the surgeon passed out in a chair. As a rule, your hospital does not allow surgical interns to perform surgery unless they are under the watchful eye of an attending surgeon or surgical resident. The surgery went well with no immediate complications, and the patient has since been released and is doing well. After learning about this from the scrub nurse, you face an ethical dilemma. Explain what you would do as the healthcare administrator to handle this situation. Your journal entry must be at least 200 words. No references or citations are necessary.

I am interested in Congestive heart Failure in African American women between the add of 25-35.  Please write a 2-4 page introduction to your research proposal. In this section you will include the following information: Statement of the problem (What healthcare issues are you addressing in your research proposal) Significance of the topic and and explanation of why this should be studied(supported with evidence and statistics) Target population (who are you studying)

Week 3: Health-Related Research and Regulations How do you balance the need to advance health-related research to cure disease with the requirement to protect the patient and “do no harm”? This is the challenge at the root of all advances in health. Health researchers who are exploring new cutting-edge therapeutic procedures, developing medications, and engineering advanced medical devices are constantly working on this delicate balance. In Week 2, you were introduced to the doctrine of informed consent and the role that it plays in allowing professionals to ethically and legally treat patients. This week, you will expand on that information and consider the critically important role that informed consent plays in health-related research. You will also continue to explore how decisions are made concerning who will receive scarce and expensive medical care. Learning Objectives Students will: Analyze the components of informed consent Identify key terms and concepts related to privacy, confidentiality, and liability Identify key ethical and legal terms associated with health-related research, regulation, and the allocation of scarce healthcare resources Learning Resources Required Readings Judson, K., & Harrison, C. (2019). Law and ethics for the health professions (8th ed.). New York: McGraw-Hill. Chapter 13, “Health Care Trends and Forecasts,” (pp. 342-374) American Medical Association. (n.d.). Informed consent. Retrieved September 5, 2018 from https://www.ama-assn.org/delivering-care/informed-consent National Institutes of Health. (2018). Patient recruitment: Ethics in clinical research. Retrieved from https://clinicalcenter.nih.gov/recruit/ethics.html Scheunemann, L. P. & White, D. B. (2011). The ethics and reality of rationing in medicine. Chest. 140(6), 1625 – 1632. doi: 10.1378/chest.11-0622 Shamoo, A. E. (2016). U.S. military medical ethics guidelines in limbo. Retrieved from https://www.thehastingscenter.org/u-s-military-medical-ethics-guidelines-in-limbo/ National Institutes of Health. (n.d.). Medical research with animals (NIH Publication Number 08-6436). Retrieved September 5, 2018, from http://grants.nih.gov/grants/policy/air/AnimalResearchFS06.pdf Document: Week 3 Discussion Scenarios (PDF) Required Media Laureate Education. (n.d.). Virtual philosopher. [Interactive Media]. Baltimore, MD: Author. This interactive media activity asks a series of question to determine your beliefs, then gives you various situations that test your personal ethics. Optional Resources U.S. Department of Health and Human Services, Office for Human Research Protections. (2016). The Belmont report: Ethical principles and guidelines for the protection of human subjects of research. Retrieved from https://www.hhs.gov/ohrp/regulations-and-policy/belmont-report/index.html Read the full text of the Belmont Report and watch the accompanying video Discussion: Informed Consent in Practice and Research To prepare for this Discussion: Review this week’s Learning Resources, paying particular attention to the AMA article “Informed Consent” and Chapter 7 in the Judson and Harrison textbook. Download the Week 3 Discussion Scenarios (located in the Learning Resources). Choose two scenarios for your Discussion. By Day 4 Post a comprehensive response to the following: For each scenario, decide if informed consent was obtained properly. If it was, then explain why you think it was. Be specific. If it was not, then explain wherein the informed consent process a procedure was not followed. Be specific. For each scenario, explain how you would improve the informed consent process to make sure consent to treat a patient is obtained correctly. Be specific and provide examples. Imagine yourself as a health provider (like the providers in the scenarios). What would you do to make sure that informed consent to treat is always done correctly? Note: Initial postings must be 250-350 words (not including references). Support your Discussion and peer responses with in-text citations and references from specific Learning Resources. Read a selection of your colleagues’ postings. By Day 6 Respond to at least two of your colleagues’ by addressing the following: Expand further on why informed consent was or was not properly obtained in the scenario and offer additional recommendations for obtaining proper informed consent. Offer additional recommendations for providers to ensure that proper informed consent is obtained in all circumstances. In addition, you may also respond as follows (optional): Offer and support an opinion Validate an idea with your own experience Make a suggestion or comment that guides or facilitates the discussion Submission and Grading Information Grading Criteria To access your rubric: Week 3 Discussion Rubric Post by Day 4 and Respond by Day 6 To participate in this Discussion: Week 3 Discussion

#1)  Write down sample nursing diagnoses, interventions, and expected outcomes for the following client: Elaina, 27 years old, visits a prenatal clinic to confirm a positive pregnancy test. Elaina tells the nurse that she is not married and has no support system. She also states that she is making minimum wage at a restaurant with no health insurance and cannot afford prenatal care. She intends to keep the baby and would rather not tell her partner because “they don’t have that kind of a relationship.” Elaina asks the nurse “If I take good care of myself, why do I need prenatal care?” #2) Explain how the fetus is affected by tobacco use during pregnancy.  Keeping in mind the 2020 National Health Goals, what are some things you can do as a nurse to promote these goals and carry your ideas out into the community. #3) You are asked to perform an assessment of a pregnant  woman and her family. Prior to the assessment, devise a list of interview questions to use to assess the woman’s readiness for parenthood and current health status as well as her goals for the pregnancy. #4) For each of the following QSEN competencies write a list of nursing interventions for promoting fetal and maternal health related to each competency:          Patient centered care         Teamwork and collaboration          Evidence-based practice         Quality improvement          Safety          Informatics. #5)  List the four major hormones produced in early pregnancy.  Describe what each one does. Due Date- November 5th

1.      TB is one of illnesses that has horrible consequences if not treated and is fairly contagious. What is the treatment and what have we historically done for patients that are not complaint with treatment. (150 words)   2.      Asthma is a disease that effects the airways, describe the pathological process in how it makes the patient/affected, not be able to move air. How do you help the person with an acute attack? (150 words)   3.      What do steroids do (think patho level) to calm an allergic reaction/inflammation? (150 words)   4.      Why patient education is key when it comes to these serious life-threatening allergies? (150 words) Please answer each question separately.  Thank you.

Think about how much Protein you eat. Is it too little, too much? What about the sources – animal, vegetable or both? Write an essay about the Protein in your diet. What would you do if you were a vegetarian? What kind of a vegetarian would you be? How would you plan a plant based diet and still get all the needed amino acids? What about people, especially children, in less developed countries?  Do they get enough Protein? Why not? Is there a possible solution for them? [Be sure to view the attachment.]  Write an essay responding to the questions above.

Objective 8 Narrative Requirements  Describe how you have improved your nursing practice through the use of safety and quality improvement strategies, including the use of outcome indicators. Discuss how you have improved the quality of patient care while controlling the cost of care. Utilizing the case study from #1, discuss the outcomes you developed to address the identified nursing diagnoses and evaluate their effectiveness.

Summary: A theory can be used to guide practice.  This assignment is an exercise in supporting a clinical practice with theory and evidence. Directions: Identify an outcome of nursing practice in your area of practice that can be improved.  For example, if you work in home health, you may identify that throw rug use by fall risk patients is too prevalent.  You may be able to use the problem that inspired the theory concepts that you developed in week two. Identify the concept in Watson’s Theory of Caring that could represent or include the outcome.  In our example, the outcome would be the changes in self through the change in the patient’s floor covering practice. Identify a practice that can be changed or implemented that may influence the outcome. Identify the concept in Watson’s Theory of Caring that includes the practice.  In our example, the practice could be to improve the understanding of fall hazards through the engagement in a teaching-learning experience, one of Watson’s Caritas Processes. Identify exactly how these two concepts will be measured with their operational definitions. Develop a proposition between the two. Present your outcome in an APA formatted paper  meeting the University’s standards for a written assignment. Length: 5 to 7 pages including title and reference pages References: 3 to 10.  There should be enough to support the links between the concepts of the problem and the concepts of Watson’s Theory of Caring.